Georgia Mountain Dermatology, LLC
NPI #1043400088 in Jasper, Georgia
Provider Information
- NPI Number
- 1043400088
- Entity Type
- Organization
- Organization Name
- Georgia Mountain Dermatology, LLC
- Primary Specialty
- Dermatology
- Enumeration Date
- Jul 26, 2007
- Last Updated
- Jul 26, 2007
Practice Location
Authorized Official
- Name
- CARLTON TRENT FAULK SR., M.D.
- Title
- PRESIDENT
- Phone
- (706) 253-3376
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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